Key result
Telephonic medication therapy management did not significantly reduce 60-day all-cause hospitalization compared to usual care in home health patients (Adjusted OR 1.26, p=0.19).
Why the study?
Does telephonic medication therapy management reduce 60-day all-cause hospitalization in Medicare-insured home health care patients?
Population
895 Medicare-insured home health care patients newly admitted into a 60-day home health care episode, mean…
Comparison
Telephonic medication therapy management service… vs Usual home health care alone.
Design
RCT, Block randomization, Home health nurses completing the admission…
Follow-up
60 days
Authors
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Telephonic medication therapy management does not reduce 60-day hospitalizations; does not support routine use in home health patients and leaves low-risk subgroup effects open.
RCT (n=895)
Single-blind
Block randomization
Yes
Does telephonic medication therapy management reduce 60-day all-cause hospitalization in Medicare-insured home health care patients?
Odds Ratio: 1.26 (95% CI 0.89–1.77)
Absolute Event Rate: 20% vs 23%
p-value: p=.19
A telephonic medication therapy management intervention did not significantly reduce 60-day all-cause hospitalizations in the overall home health patient population, though it showed potential benefit in a subgroup of lowest-risk patients.
Zillich et al. (2014) conducted an RCT in Medicare-insured home health care patients (n=895). Telephonic Medication Therapy Management vs. Usual care was evaluated on 60-day all-cause hospitalization (Adjusted OR 1.26, 95% CI 0.89-1.77, p=.19). Telephonic medication therapy management did not significantly reduce 60-day all-cause hospitalization compared to usual care in home health patients (Adjusted OR 1.26, p=0.19).
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